On average, the minor foramen is 0.5 mm coronal to the major foramen, which is 0.5 mm from the radiographic apex (Kuttler 1955). Gutta percha cannot seal beyond the narrowest diameter of the root shape, or into a divergent apex(Weine 1975). Gutta percha beyond this point certainly won’t help, and although tolerated by tissues (Seltzer 1975), extruded filling material is associated with delay healing (Molven 2002). Cone Beam Computed Tomography can help to determine where the actual minor constriction is in relation to the radiographic apex. This way, treatment can be more precise than “filling” every case to the radiographic apex to achieve “the look”, and deleterious effects can be avoided. Note how in the case above, the pre-op PA does not indicate where the minor constriction is. The CBCT view shows that the minor constriction is 3.2 mm coronal to the radiographic apex. The case was filled to the minor constriction, and excellent healing is evident at the 1-year recall.
Dear Dr. Dan and Ruthie; I thank you, not only for your professional expertise and abilities, but also for the caring concern that you extended towards me. It turned what could have been a trying anxious time into a time of pleasant healing and nurturing. Thank you both.
Thank you Dr. Boehne and the team. I was treated with professionalism and I was well informed during the entire process. A truly fantastic experience!
Chris L.Newport Beach
Dr. Boehne & staff, I just wanted to thank you so much for your time and effort to fix my tooth! I really appreciate how you took the time to explain everything to me and make sure that it healed. Everything looks and feels great! Thanks again,
Lindsay C, Newport Beach
Dear Dr. Boehne, Waking up to sudden severe nerve pain and being told you need a root canal is not typically the way one plans to begin their day! However, from the moment I stepped into your office I felt I was in good hands. Your receptionist and your dental assistant were kind and reassuring while I waited to be seen. I am a nervous dental patient and was unsure about the details of the procedure, but you took the time to explain very clearly and specifically what I could expect. You we… Read more
Jodie C, San Clemente
Dear Dr. Boehne, I want to thank you for the skilled and compassionate services you rendered to me with regard to my root canal. I was greatly impressed by your professional skills and your sensitivity to your patients’ concerns and fears. The kindness of all of your staff and the state-of-the-art equipment in your office, are also eloquent manifestations of your commitment to the best possible care of your patients. I am profoundly grateful that Dr. Franke sent me to you.
Dear Dr. Boehne and Chelsie, I can not begin to put into words how much I appreciate what you’ve done for me. God is good. I’m glad my tooth doesn’t have a hole in it anymore. haha I wanted to paint you guys this so you would know how much what you did meant to me; and also so you guys could say you Do have an ocean view from your operatory. You guys are great! Thanks again
Dan, Thank you so much for taking such great care of me! I’m super grateful for your generosity and my tooth feels great!
Todd M. San Clemente
Dear Dr. Boehne, Thank you for treating a panicked old lady with kid gloves. It was greatly appreciated. sincerely,
Judy, San Clemente
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